Individual provider Active NPI

Maria M Fernandez Fontan, RPT

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1407191679
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
888 Issued in PR
Practice address
Carimed Plaza B1 Suite 406
Calle Santa Cruz
Bayamon, PR 00961-0001
Phone
(787) 779-6896
Fax
(787) 779-6805
NPI assigned
Nov 29, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 888 PR Primary

Addresses

Primary practice location

Carimed Plaza B1 Suite 406
Calle Santa Cruz
Bayamon, PR 00961-0001

Mailing address

Carimed Plaza B1 Suite 406
Calle Santa Cruz
Bayamon, PR 00961-0001
Phone (787) 779-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000155 PR Practitioner - Physical Therapist in Private Practice 3577716943 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Fisiatrico de Bayamon, PTRGroup PAC ID 7719017284, 6 clinicians
Grupo Fisiatrico Torre Auxilio MutuoGroup PAC ID 8921082785, 4 clinicians
Centro de Rehabilitacion Y Medicina del DeporteGroup PAC ID 4183707227, 6 clinicians

Practice addresses (Care Compare)

66 Calle Santa Cruz
Bayamon, PR 00961-7041
Phone (787) 740-2270

735 Ave Ponce de Leon
Suite 417
San Juan, PR 00917-5026
Phone (787) 296-3088

B1 Calle Santa Cruz
Suite 406
Bayamon, PR 00961-6945
Phone (787) 779-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
888PRMDOrthodontics and Dentofacial Orthopedic Dentist
000888PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico de Bayamon PTR Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients
Grupo Fisiatrico Torre Auxilio Mutuo Physical Therapist CurrentSince Oct 31, 2013 Accepting new patients
Centro de Terapia F de Naranjito Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients
Centro de Rehabilitacion Y Medicina del Deporte Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients

Locations

66 Calle Santa Cruz
Ste 301
Bayamon, PR 00961
Phone (787) 740-2270

B1 Calle Santa Cruz
Ste 406
Bayamon, PR 00961
Phone (787) 740-2270

73 Calle Georgetti
Naranjito, PR 00719
Phone (787) 365-8596

735 Ave Ponce de Leon
Ste 417
San Juan, PR 00917
Phone (787) 296-3081

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1407191679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA B1 SUITE 406",
            "address_2": "CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610001",
            "telephone_number": "787-779-6896",
            "fax_number": "787-779-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARIMED PLAZA B1 SUITE 406",
            "address_2": "CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009610001",
            "telephone_number": "787-779-6896",
            "fax_number": "787-779-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ FONTAN",
        "first_name": "MARIA",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.